PT  - JOURNAL ARTICLE
AU  - Sudhir Srivastava
AU  - Kunal Roy
AU  - Sunil Bhosale
AU  - Nandan Marathe
AU  - Aditya Raj
AU  - Rishi Agarwal
TI  - Outcome Analysis of Subaxial Cervical Spine Tuberculosis Operated by the Anterior Approach: A Single-Center Experience
AID  - 10.14444/8002
DP  - 2021 Feb 01
TA  - International Journal of Spine Surgery
PG  - 18--25
VI  - 15
IP  - 1
4099  - https://www.ijssurgery.com/content/15/1/18.short
4100  - https://www.ijssurgery.com/content/15/1/18.full
SO  - Int J Spine Surg2021 Feb 01; 15
AB  - Background: Though spinal tuberculosis has a predilection for the dorsal and lumbar spine, a high percentage of morbidity and mortality is associated with cervical tuberculosis. Cervical tuberculosis accounts for about 10% of cases, with the major concerns being quadriparesis/quadriplegia and kyphotic deformity. Herein we describe our experience with the use of anterior instrumentation with titanium implants in 46 patients with subaxial tuberculosis.Materials and Methods: Included in the study were a total of 46 patients with subaxial cervical (C3-C7) and upper dorsal (D1-D3) tuberculosis who underwent operations with anterior debridement, decompression, bone grafting, and anterior instrumentation by a single surgeon at our institute between January 2007 and December 2014. A review of the demographic data, medical records, and x-rays before and after surgery and at subsequent follow-ups was performed retrospectively from the departmental database.Results: Neurological involvement in the postoperative period was seen in 29 of the 30 patients, 26 of whom showed complete neurological recovery. The Cobb angle at presentation ranged from 2°–58° of kyphosis with an average kyphosis of 15.4°. The average lordosis after surgery was found to be 17.5° (ie, a mean correction of 32.9°).Conclusions: Anterior instrumentation of subaxial cervical tuberculosis with titanium implants provides good correction of kyphosis and provides reasonable neurologic recovery in patients and ensures a long-lasting functional outcome.Level of evidence: 4.